Individual
MRS. STACEY ANNE LOOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA CF-SLP
Contact information
Practice address
1451 GALWAY DR, ALAMOGORDO, NM 88310-7845
(575) 495-2880
Mailing address
5980 HIGHWAY 54 S UNIT 3334, ALAMOGORDO, NM 88311-9506
(575) 921-2408
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2020
Last updated
06/04/2020
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